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CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1538995071
Clinic/Center - Mental Health (Including Community Mental Health Center) in Reno, NV

Active since September 11, 2024
5470 KIETZKE LN STE 300, RENO, NV 89511(480) 550-9281 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2025, Sep 11, 2024 (2 updates tracked since 2024).

About Change Academy At Lake Of The Ozarks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGE ACADEMY AT LAKE OF THE OZARKS (NPI 1538995071) is a healthcare organization registered as a mental health (including community mental health center) in Reno, Nevada and active in the NPI registry since September 2024. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1538995071
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address5470 KIETZKE LN STE 300Reno, NV 89511-2099
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631
Phone(480) 550-9281
Organization SubpartYes
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateSeptember 11, 2024
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1538995071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
5470 KIETZKE LN STE 300, Reno, NV 89511
Open in Google Maps ↗

Other Names 1

Other NameEmbark Virtual At Nevada

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY DANIELLE LOWER
Behavior Analyst
5470 KIETZKE LN STE 300
RENO, NV 89511
Washoe County (775) 393-3029
DR. BLAKE H TEARNAN PH.D.
Psychologist (Clinical)
5470 KIETZKE LN STE 300
RENO, NV 89511
Washoe County (775) 827-8883
BEHAVIORAL MEDICINE ASSOCIATES INC
Community/Behavioral Health
5470 KIETZKE LN STE 300
RENO, NV 89511
Washoe County (775) 827-8883
PATRICIA LEIGH STEPHENS
Behavior Technician
5470 KIETZKE LN STE 300
RENO, NV 89511
Washoe County (775) 393-3029
MEDBRIDGE HOME HEALTH SERVICES LLC
Home Health
5470 KIETZKE LN STE 300
RENO, NV 89511
Washoe County (775) 430-8407
ORACLE COUNSELING SERVICES, PLLC
Social Worker (Clinical)
5470 KIETZKE LN STE 300
RENO, NV 89511
Washoe County (775) 338-7099
H HAYDON HILL MD PROF LLC
Physical Medicine & Rehabilitation
5470 KIETZKE LN STE 300
RENO, NV 89511
Washoe County (775) 432-4127
ANDRIA GREGER
Social Worker (Clinical)
5470 KIETZKE LN STE 300
RENO, NV 89511
Washoe County (775) 338-7099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Change Academy At Lake Of The Ozarks's NPI number?

The NPI number for Change Academy At Lake Of The Ozarks is 1538995071. It was assigned to this organization in the NPPES registry on September 11, 2024.

Where is Change Academy At Lake Of The Ozarks located?

Change Academy At Lake Of The Ozarks is located at 5470 Kietzke Ln Ste 300, Reno, NV 89511. The listed phone number is (480) 550-9281.

What is Change Academy At Lake Of The Ozarks's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Change Academy At Lake Of The Ozarks was last updated on May 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.